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APPLICATION�OR CONSTRUCTI� PERMIT <br />CITV OF EVERETT • BUILDING DIVISION �T <br />3200 CEDAR STREET • EVERETT, WA 90201 • 259-BB70 <br />O DEMOLITION � COMBINATION ❑ BUIl01NG ❑ MECHANICAL ❑ PLUMBIN6 ❑ SI6N <br />PROJECT ADDRESS: �- L � G�r' N� i �E <br />ERv����u�i,�_ �r�,�Fa �M1h/r 94tei 2S1-S33� — <br />OWNfR V��l�Oq1[55 CIM1 l�� P��OMC <br />IfN�NI Yul�Wf�C$5 CIl! rrv ir.Vtt <br />�NCNII(CtCnM$IGH(11 Y�X�OpnL55 C�M1 l�� M�"L'f <br />IJAyS'ri ����T. L�I�N�Fa�iw.nt c"7��w,+r 9xu� zit-9VSo NA�Qac,riz3aoir <br />cc�rnuco-unnnom m��opn[ss cm tm n�ovc awu¢rvs[. <br />4ECe�wU�COvinqlOn uul�DW�E55 f.irv Im PrUtiC S1eiEUC[n5[• <br />_/�(I3 P����v,�c P�Oai9Yr si�+�w�sH7gt9� 3lu-�GX�J6�� p�P��l+fnS7,Pp <br />%VulMGCONineLlOn MUUppuf55 C�n' Pi� PlqhE SI�1EUCfHSE• <br />(� oc. - <br />lfG�l MS[nie11CM O� 1'I�O�i�tt IS��OWM RI <br />lO15 ��11lOCM yb� <br />/)� Vi.S�tir� /' <br />nw�cct ria i o r�uueEn <br />NYS3- VLJ-UU4_� <br />CWSiHIKiIG1l0.W IENDEN. �Cd�E55, iEll <br />UflINAI <br />FOR OFFICE USE ONiY: <br />rnor*s[rn+c� nt�nsrip�cw <br />ustza�e �o+.nr� <br />nc�cnruun�nov Mo a nw�wrm <br />uvrt< <br />MEATING SYSTEM: ❑ GAS � ELECTRIC ❑ <br />cowi�c� rrnsow nr.o r�rox� rq <br />7-S �' 1 YS� <br />I HEREOY CERTIFY TIIFT I 11AVE REAU AND ER�MINED TMIS <br />APPLICRTION AND NNOW THE SAME TO UE iRUE �N� CORRECT ALL <br />PROVISIONS OF LAWS ANO OROINANCES GO\'ERNING THIS TYPE OF <br />WORK WILI pE COMP�IED WITH KM1IETNER SPEGIFIED HEREIN OR <br />NOT. THE aRANTING OF A PERMIT DOE� NOT VRESUME TO GIVE <br />AUTHORITV TO VIOUTE OR C�NCEI TNE PFOVISION OF ANY <br />OTHER STATE OR IOCN. LAW REGUUiIN� CONSTRUCTION CR iME <br />PERFOPrA�NCE Of CONSTRUCTION. TMAT I �M AUTHOR2ED 9Y TME <br />OWNER OF 1N15 PROPEFT' TO PERFORM TME WORK FOP WMICM <br />RPPUCATION IS MAOE AHD I COMPLY WITH THE ST�TE <br />CONTR�CTORS LAW 18 27 HCW ANO 296200 WAC. <br />,.�J���'�j� �'�'a��-� 6-1-5 Y <br />SK. �IunH' pE o+rt <br />� (li � <br />CIIY 11VS�Nf55lC[NSC MO <br />S�MSFfP4N R�NCulCXMNPfO !fF <br />� ��/� <br />v�c.M�vtt FEES _ <br />ores ❑'b qumwr. <br />❑res ❑�o <br />CItY OF EVERETT <br />LOCALSALES <br />r�x cooe is aios <br />riavni�c. <br />u¢x.r.�w <br />.oauo+u n.vortc+ <br />mwfn <br />sn[ evno�vr. s�mcn+nrt <br />rnni r. won.5 <br />T0T11 <br />